McCavitt Chiropractic Center, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MCCAVITT CHIROPRACTIC CENTER, P.C.

Practice address

3711 N Sheridan Rd
Peoria, IL 61614-7132

Phone

(309) 688-2271

Fax

(309) 688-0920

NPI assigned

Oct 25, 2007

Last updated

Oct 25, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Shawn McCavitt, D.C.NPI 1942230776

Title

President

Phone

(309) 688-2271

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Shawn McCavitt, D.C.

  • Chiropractor
  • Peoria, IL
  • NPI 1942230776
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1033398185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 N SHERIDAN RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616147132",
            "telephone_number": "309-688-2271",
            "fax_number": "309-688-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 N SHERIDAN RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616147132",
            "telephone_number": "309-688-2271",
            "fax_number": "309-688-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCAVITT CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "MCCAVITT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-688-2271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne M McCall, PA
• Sara Sable McCann, MD
• Christopher B McCarthy, DO
• Heather Lee Doebler McCarthy, D.O.
• Kevin Richard McCarthy, D.C.
• Michael Shawn McCavitt, D.C.
• Amanda McClain
• Jocelyn R McClain, MD
• Kyle McClintock
• Courtney C McCloud, OTR/L

• Chiropractor in Peoria, IL
• Providers in Peoria, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.